| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $2,404.55 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $956.41 | $956.41 | $956.41 | |
Cigna
| Professional | $355.34 | $752.77 | $953.25 |